Massage is one of the relaxation techniques commonly used in recent years to control pain, stress, and anxiety.
This study was conducted to evaluate the effect of hand massage application on pain, anxiety, and vital signs before venipuncture procedure.
The sample of the study consisted of 97 individuals (48 experimental and 49 controls) who were admitted to a training and research hospital in Turkey between December 2018 and May 2019. Individuals assigned to the experimental group received hand massage. The data were obtained with an individual information form, a visual analog scale (VAS), and the State-Trait Anxiety Inventory (STAI).
The mean age of the participants was 49.52±12.48years. There was no significant difference between the pain levels of the experimental and control groups (p&gt;.05), but the anxiety level of the experimental group was significantly less than that of the control group (p&lt;.05). There was also a significant difference between the experimental and control groups in terms of systolic and diastolic blood pressure and heart rate. The blood pressure and heart rate of the experimental group decreased significantly (p&lt;.05).
Hand massage was found to be a simple, non-pharmacologic, inexpensive, and independent nursing practice that could be used to reduce anxiety and positively affect vital signs in patients before venipuncture procedure.
Hand massage was found to be a simple, non-pharmacologic, inexpensive, and independent nursing practice that could be used to reduce anxiety and positively affect vital signs in patients before venipuncture procedure.We aimed to assess the effects of medial displacement calcaneal osteotomy (MDCO) through a minimal skin incision in terms of pain, function, and alignment in patients with unilateral adult acquired flatfoot. American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scale and Numeric Pain Rating Scale (NPRS) were assessed as outcomes at the baseline (T0), at 6 months (T1), and at 1 year (T2) from surgery. We analyzed data of 20 patients (7 male and 13 female), mean aged 46.6 ± 5.34 years, showed significant differences after 6 months in terms of AOFAS total score (44.30 ± 7.39 vs 96.50 ± 4.89; p?=?.0001), AOFAS subitems (p less then .001), and pain (NPRS 7.95 ± 1.36 vs 1.05 ± 1.05; p?=?.0001). At 1 year after surgery (T2), all outcome measures still significantly differ from baseline (p less then 01). Therefore, percutaneous MDCO through a minimal skin incision seemed to be safe and effective in the middle and long term in reducing pain and improving function and alignment in patients with unilateral adult acquired flatfoot.Charcot neuroarthropathy is a devastating condition, most commonly affecting poorly controlled diabetic patients with peripheral neuropathy. Pharmacological options for the condition are currently limited. The purpose of this study was to investigate the potential of Prolia® (denosumab) as a safe and feasible option in the treatment of acute Charcot neuroarthropathy. A total of 7 consecutive subjects were enrolled and followed for 1 year. https://www.selleckchem.com/products/Cladribine.html Subjects received a single one-time injection of denosumab 60 mg. Subjects also received standard of care treatment, which included total contact casting, restricted weightbearing status, and biweekly office visits until normalization of the skin temperature gradient. Overall, the pharmaceutical treatment was generally well-tolerated. One subject developed a diabetic foot infection with cellulitis of the contralateral lower extremity, which occurred following the 6-month follow-up visit and which resolved with oral antibiotics One subject identified transient muscle pain in the same upper extremity which received the injection. Subjects were found to exit the acute phase of the condition at an average of 52.00 ± 17.89 days after their injection, which was defined by normalization of skin temperature to within 2°C of the contralateral foot. Treatment of acute Charcot neuroarthropathy with denosumab was well-tolerated in this open-label, pilot study. The clinical outcomes suggest that the medication may be efficacious, though a larger sample size would be needed to confirm these preliminary results. An adequately-powered, randomized, controlled study may be an appropriate follow-up.The climate of tropical Southeast Asia includes high humidity and ultraviolet radiation that reducethe lifespan of silicone prostheses by inducing changes in their mechanical properties and color stability. Studies on the surface roughness (SR) and mechanical properties of different silicone elastomers (SEs) subjected to the natural tropical weather of Southeast Asia are lacking.
The purpose of this invitro study was to evaluate the SR, tensile strength (TS), and percentage elongation (% E) of different SEs subjected to outdoor weathering in the Malaysian climate.
Type-II dumbbell-shaped specimens (N-120) (nonweathered=15, weathered=15) were made from 3 room-temperature vulcanized (A-2000, A-2006, and A-103) and 1 heat-temperature vulcanized (M-511) silicone (Factor II). For 6 months, weathered specimens were subjected to outdoor weathering inside a custom exposure rack. Simultaneously, the nonweathered specimens were kept in a dehumidifier. Subsequently, the SR was measured with a profilometer; TS and ing.
Based on the evaluation of mechanical properties, A-103 can be suggested as a suitable silicone for maxillofacial prostheses fabricated for tropical climates. However, A-2000 can be a suitable alternative, although significant changes to surface roughness were detected after outdoor weathering.The mechanical behavior of the conical connection implant with different torque levels requires evaluation.
The purpose of the finite element analysis study was to investigate the impact of abutment screw torque on the formation of microgaps at the implant-to-abutment interface of a conical connection under oblique loading. This is important because it is thought that bacteria can invade the internal implant space through the abutment-implant microgaps, causing peri-implantitis.
Three-dimensional finite element analyses of the conical implant-abutment connection were performed by using screw torques of 20 Ncm and 30 Ncm. Oblique loads from 10 N to 280 N were applied to the prosthesis placed on the implant. The maximum von Mises stress in the abutment screw, the microgap formation process, and the critical load for bridging the internal implant space were evaluated.
The stresses in the abutment screw under oblique loading had limited sensitivity to the screw torque. However, the residual stress in the screw with a 30-Ncm torque was 35% higher than that with a 20-Ncm torque in the absence of an external load.